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Nursing Diagnosis – Questions With Correct Solutions

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Terms in this set (49)



Nursing diagnosis second phase of the nursing process


Nursing diagnoiss clinical judgment about individual, family, or
community responses to actual or potential health
problems or life processes


Nursing diagnosis purporse is to ID strengths and helath problems and
those than can be prevented or resolved as a nurse


Interventions what you will do for the patients


Nursing diagnosis started in 1980 when the ANA published official
nursing diagnoses. Nursing is the diagnosis and
treatment to responses of an actual health problem


1995 updates statement that diagnoses facilitate
communication among HCP. Not only among HCP,
but also among the recipients. Good practice of
communication helps provide the choice of
treatment, subsequent evaluation


nursing process assessment, diagnosis, planning, implementation,
evaluation. Validate the data, determine the meaning
of the data, cluster related ideas, identify client
needs, make a nursing diagnosis.

, Nursing diagnosis a statement that describes the client's actual or
potential response to a health problem that is within
the nursing scope of practice. It provides the basis
for selection of nursing interventions to achieve
outcomes for which the nurse is responsible.


Nursing diagnosis problems that the patients have. No lung sounds. The
problem is ineffective breathing, not that you cant
hear. Elevate the level of terminology and thinking.


Assessment making a nursing diagnosis is the link or bridge
between the assessment (listening to lungs sounds)
and making interventions (get albuterol, sut bed up
and admin to pt). if you don't make an accurate
diagnosis, you can incorrectly do interventions that
may not be helpful. Very critical!


Standardized nursing diagnosis evolution, rationales for using standardized
language language, taxonomies. We need a standard language
because our dialogue is specific. Also gives us
autonomy as a nursing practice.


NANDA continues to meet every other year to look at specific
nursing diagnoses, evidence, literature, and review
whether the language is still appropriate


Taxonomies system of identifying, naming, nad classifying
phenomena; includes NANDA (North American
Nursing Diagnosis Association), Taxonomy II
(multiaxial system, up to 7 parameters), Omaha
System (Visiting Nurse Assoc.), Saba system (home
health care), Psychiatric nursing diagnoses (practice
specific)

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